Clinical and genetic characteristics of the syndrome of contractures of the limbs and face, hypothony and psychomotor retardation (OMIM: 616 266), caused by mutations in the NALCN gene

Cover Page

Cite item

Full Text

Abstract

A description of the clinical and genetic characteristics of the syndrome of congenital contractures of the limbs and face in combination with muscular hypotonia and psychomotor retardation of 2 patients from Russia is presented. As a result of full-exome DNA sequencing, 2 heterozygous missense mutations c 4355T C and c.3541C G were found in the NALCN gene, leading to amino acid substitutions at the functionally important center of the protein molecule. The effect of identified mutations in the NALCN gene on the function of its protein and approaches to the differential diagnosis of congenital contracture syndrome of the extremities and face in combination with muscular hypotonia and psychomotor retardation with monogenic variants of distal arthrogryposis with autosomal dominant type of inheritance are discussed.

About the authors

A. O. Borovikov

Research Center of Medical Genetics

Author for correspondence.
Email: borovikov33@gmail.com
ORCID iD: 0000-0001-5871-8005

1 Moskvorech’e St., Moscow 115478

Russian Federation

I. V. Sharkova

Research Center of Medical Genetics

Email: fake@neicon.ru
ORCID iD: 0000-0002-5819-4835
1 Moskvorech’e St., Moscow 115478 Russian Federation

O. P. Ryzhkova

Research Center of Medical Genetics

Email: fake@neicon.ru
ORCID iD: 0000-0003-1285-9093
1 Moskvorech’e St., Moscow 115478 Russian Federation

A. L. Chukhrova

Research Center of Medical Genetics

Email: fake@neicon.ru
ORCID iD: 0000-0002-5474-4713
1 Moskvorech’e St., Moscow 115478 Russian Federation

O. A. Schagina

Research Center of Medical Genetics

Email: fake@neicon.ru
ORCID iD: 0000-0003-4905-1303
1 Moskvorech’e St., Moscow 115478 Russian Federation

T. V. Markova

Research Center of Medical Genetics

Email: fake@neicon.ru
ORCID iD: 0000-0002-2672-6294
1 Moskvorech’e St., Moscow 115478 Russian Federation

E. L. Dadali

Research Center of Medical Genetics;
Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: fake@neicon.ru
ORCID iD: 0000-0001-5602-2805
1 Moskvorech’e St., Moscow 115478, 

1 Ostrovityanova St., Moscow 117997

Russian Federation

References

  1. Chong, J.X., McMillin M.J., Shively K.M. et al. De novo mutations in NALCN cause a syndrome characterized by congenital contractures of the limbs and face, hypotonia, and developmental delay. Am J Hum Genet 2015;96(3):462–73. PMID: 25683120. doi: 10.1016/j.ajhg.2015.01.003.
  2. Karakaya M., Heller R., Kunde V. et al. Novel mutations in the nonselective sodium leak channel (NALCN) lead to distal arthrogryposis with increased muscle tone. Neuropediatrics 2016;47(4):273–7. PMID: 27214504. doi: 10.1055/s-0036-1584084.
  3. Koroglu C., Seven M., Tolun A. Recessive truncating NALCN mutation in infantile neuroaxonal dystrophy with facial dysmorphism. J Med Genet 2013;50(8):515–20. PMID: 23749988. doi: 10.1136/jmedgenet-2013-101634.
  4. Lee J.H., Cribbs L.L., Perez-Reyes E. Cloning of a novel four repeat protein related to voltage-gated sodium and calcium channels. FEBS Lett 1999; 445(2-3):231–6. PMID: 10094463. doi: 10.1016/s0014-5793(99)00082-4.
  5. Lu B., Zhang Q., Wang H. et al. Extracellular calcium controls background current and neuronal excitability via an UNC79-UNC80-NALCN cation channel complex. Neuron 2010;68(3):488–99. PMID: 21040849. doi: 10.1016/j.neuron.2010.09.014.
  6. Vivero M., Cho M.T., Begtrup A. et al. Additional de novo missense genetic variants in NALCN associated with CLIFAHDD syndrome. Clin Genet 2017;91(6):929–31. PMID: 28133733. doi: 10.1111/cge.12899.
  7. Monies D., Abouelhoda M., AlSayed M. et al. The landscape of genetic diseases in Saudi Arabia based on the first 1000 diagnostic panels and exomes. Hum Genet 2017;136(8):921–39. PMID: 28600779. doi: 10.1007/s00439-017-1821-8.
  8. Bramswig N.C., Bertoli-Avella A.M., Albrecht B. et al. Genetic variants in components of the NALCN-UNC80- UNC79 ion channel complex cause a broad clinical phenotype (NALCN channelopathies). Hum Genet 2018;137(9):753–68. PMID: 30167850. doi: 10.1007/s00439-018-1929-5.
  9. Ryzhkova O.P., Kardymon O.L., Proxorchuk et al. Guidelines for the interpretation of massive parallel sequencing variants. Medicinskaya Genetika = Medical Genetics 2017;16(7):4–17. (In Russ.).
  10. Aoyagi K., Rossignol E., Hamdan F.F. et al. A gain-of-function mutation in NALCN in a child with intellectual disability, ataxia, and arthrogryposis. Hum Mutat 2015;36(8):753–7. PMID: 25864427. doi: 10.1002/humu.22797.
  11. Takenouchi T., Inaba M., Uehara T. et al. Biallelic mutations in NALCN: Expanding the genotypic and phenotypic spectra of IHPRF1. Am J Med Genet A 2018;176(2):431–7. PMID: 29168298. doi: 10.1002/ajmg.a.38543.
  12. Gilon P., Rorsman P. NALCN: a regulated leak channel. EMBO Rep 2009;10(9):963–4. PMID: 19662077. doi: 10.1038/embor.2009.185.
  13. Sivaraman I., Friedman N.R., Prayson R.A. Muscle biopsy findings in a child with NALCN gene mutation. J Clin Neurosci 2016;34:222–3. PMID: 27473021. doi: 10.1016/j.jocn.2016.06.018.
  14. Campbell J., FitzPatrick D.R., Azam T. et al. NALCN Dysfunction as a cause of disordered respiratory rhythm with central apnea. Pediatrics 2018;141(Suppl 5):S485–90. PMID: 29610177. doi: 10.1542/peds.2017-0026.
  15. Shi Y., Abe C., Holloway B.B. et al. Nalcn is a “leak” sodium channel that regulates excitability of brainstem chemosensory neurons and breathing. J Neurosci 2016;36(31):8174–87. PMID: 27488637. doi: 10.1523/JNEUROSCI.1096-16.2016.
  16. Souza R.P., Rosa D.V., Romano-Silva M.A. et al. Lack of association of NALCN genetic variants with schizophrenia. Psychiatry Res 2011;185(3):450–2. PMID: 20674038. doi: 10.1016/j.psychres.2010.07.009.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2019 Borovikov A.O., Sharkova I.V., Ryzhkova O.P., Chukhrova A.L., Schagina O.A., Markova T.V., Dadali E.L.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 85909 от  25.08.2023.